1. Special Sundays relating to caring for God s earth (e.g. Creation Time, Environment Sunday, Rogation Sunday etc.) are celebrated in our church:

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1 WORSHIP & TEACHING 1. Special Sundays relating to caring for God s earth (e.g. Creation Time, Environment Sunday, Rogation Sunday etc.) are celebrated in our church: 2. The hymns and songs (and liturgies if used) in our church services enable us to celebrate God s creation: At least quarterly Less often Never Need to find out Not applicable 3. Our church prays for environmental issues Weekly Monthly (8) Occasionally Never 4. Caring for God s earth is preached in our church 5. Our church hosts guest speakers from A Rocha UK or other Christian environmental organisations (e.g. Christian Aid, Tearfund, Green Christian, The John Ray Initiative) to talk about environmental issues 6. Caring for God s earth features as a teaching theme in our church s youth work: Not applicable 7. Caring for God s earth features as a teaching theme in our church s children s work: Not applicable 8. Caring for God s earth features as a focus of small group study in our church: Not applicable 9. Our church s communications (e.g. newsletters, service sheets, magazines, social media etc.) include items relating to the theme of caring for God s earth 10. The leadership have made a formal commitment to improving the environmental credentials of our church by endorsing the undertaking of work towards an Eco Church Award:

2 BUILDINGS 1. Is your church responsible for the premises in which it meets? Yes No 2. We have measured our energy use and calculated the carbon footprint of our church premises: 3. We have set sufficient targets for reducing the carbon footprint of our church premises and achieving yearon-year improvements in energy efficiency: 4. We offset the carbon footprint of our church premises for those things we can t reduce: 5. The electricity supplied to our church premises is generated from renewable resources and/or charged according to our supplier s green tariff : Yes Some No Need to find out Not applicable (no external supply) 6. The gas supplied to our church premises is generated from renewable sources and/or charged according to our supplier s green tariff : Yes Some No Need to find out Not applicable (no external supply) 7. In terms of energy efficiency (an engineer should be able to determine this as part of the annual service) the main boiler on our church premises is rated: A (or above) B C D Need to find out Not applicable (no boiler) (If you have more than one boiler, please use the Buildings box under the Additional Information survey tab to tell us about the energy efficiency of other boilers on your church premises)

3 BUILDINGS (CONTINUED) 8. Our church premises are insulated as follows: MAIN CHURCH All walls and all lofts/ceilings Some walls and some lofts/ceilings All walls only Some walls only All lofts/ceilings only Some lofts/ceilings only Not at all Not applicable (listed status) CHURCH HALL All walls and all lofts/ceilings Some walls and some lofts/ceilings All walls only Some walls only All lofts/ceilings only Some lofts/ceilings only Not at all CHURCH OFFICE All walls and all lofts/ceilings Some walls and some lofts/ceilings All walls only Some walls only All lofts/ceilings only Some lofts/ceilings only Not at all OTHER BUILDING (E.G. VICARAGE, MANSE ETC.) All walls and all lofts/ceilings Some walls and some lofts/ceilings All walls only Some walls only All lofts/ceilings only Some lofts/ceilings only Not at all 9. Our church premises are double-glazed as follows: MAIN CHURCH Full double-glazing Some double-glazing Full secondary glazing Some secondary glazing Not at all Need to find out Not applicable (listed status) CHURCH HALL Full double-glazing Some double-glazing Full secondary glazing Some secondary glazing Not at all Need to find out CHURCH OFFICE Full double-glazing Some double-glazing Full secondary glazing Some secondary glazing Not at all Need to find out OTHER BUILDING (E.G. VICARAGE, MANSE ETC.) Full double-glazing Some double-glazing Full secondary glazing Some secondary glazing Not at all Need to find out

4 10. The lighting in our main church premises uses energy-efficient light bulbs as follows: MAIN CHURCH All LED bulbs Some LED bulbs and some low energy bulbs Some LED bulbs some non-low energy bulbs All low energy bulbs Some low energy bulbs and some non-low energy bulbs No low energy bulbs Need to find out Not applicable (listed status) CHURCH HALL All LED bulbs Some LED bulbs and some low energy bulbs Some LED bulbs some non-low energy bulbs All low energy bulbs Some low energy bulbs and some non-low energy bulbs No low energy bulbs Need to find out CHURCH OFFICE All LED bulbs Some LED bulbs and some low energy bulbs Some LED bulbs some non-low energy bulbs All low energy bulbs Some low energy bulbs and some non-low energy bulbs No low energy bulbs Need to find out OTHER BUILDING (E.G. VICARAGE, MANSE ETC.) All LED bulbs Some LED bulbs and some low energy bulbs Some LED bulbs some non-low energy bulbs All low energy bulbs Some low energy bulbs and some non-low energy bulbs No low energy bulbs Need to find out 11. We have a policy designed to limit the amount of energy consumed by floodlighting and/or security lighting around our church premises: Not applicable (no floodlights/security lighting) 12. The water supply to our church premises is metered: Yes (completely) Yes (partially) No Need to find out 13. Rainwater collection facilities are installed and used on our church premises (e.g. grey water systems, water butts etc.): 14. The toilet cisterns on our church premises are fitted with dual-flush buttons or other water-saving devices: All Some None Need to find out Not applicable (no toilets)

5 BUILDINGS (CONTINUED) 15. We have installed a composting/waterless toilet (see, for example, eco-toilets.co.uk) on our church premises: Not applicable (mains drainage) 16. Recycled toilet paper is provided on our church premises: Exclusively Sometimes No Need to find out Not applicable (no toilets) 17. The cleaning products used around our church premises are environmentally-friendly: All Some None Need to find out 18. The disposables (e.g. paper cups and plates etc.) used on our church premises are: Never use disposables Occasionally use disposables Biodegradable Recyclable Non-biodegradable Need to find out 19. We are reducing our paper usage (e.g. through double-sided copying/printing etc.): Always Sometimes Not at all Need to find out 20. Our church administration uses recycled paper: 21. In the event of the need to undertake a building/refurbishment project, our church would insist that it adhere to BREEAM (or similar) standard to ensure best practice in sustainable building design, construction and operation: 22. Cycle racks are available on our church premises: 23. Recycling facilities are available on our church premises: Outside (for use by the local community) Inside (primarily for use by church members) Both outside and inside No Need to find out 24. Our church has given due consideration to the possibilities of generating renewable energy on our premises (e.g. air or ground source heat pump, solar PV panels, wind turbine, etc.): 25. Our church generates renewable energy on/for our premises (e.g. from air or ground source heat pump, solar PV panels; solar hot water; wind turbine etc.):

6 LAND 1. Does your church have influence over any land? (e.g. churchyard, community nature reserve) Yes No 2. The land at our church is managed for the encouragement of native wildlife (birds, animals and plants): 3. We encourage native wildlife on our church land through provision of the following: Bird Boxes Bat Boxes Bug Hotel Hedgehog Boxes Other (please tell us in the addtional comments) None Need to find out 4. Stocked wildlife feeding stations are present on our church land (e.g. bird feeders, bird tables): Yes, all year round Yes, winter only No Need to find out 5. Our church land contains a pond or wetland area that is good for wildlife: Not applicable (no space for a pond) 6. We grow plants on our land that benefit birds, bees, butterflies etc.: 7. Our church maintains an area of land for native wildflowers: 8. Our church has researched and established a mowing regime appropriate to the conservation of the grassland and wildlife present: 9. Our church avoids the use of harmful chemicals (pesticides, herbicides or fertilizers) in the management of our land (excluding paths and driveways): 10. Our church participates in responsible native tree planting schemes in accordance with guidance from environment professionals: 11. Our church undertakes wildlife (birds, animals and plants) surveys on our land: 12. Our church participates in a scheme, other than Eco Church, designed to promote conservation on church land (e.g. Living Churchyards ):: 13. We grow fruit and vegetables on our land (including in planters, window boxes etc. as well as in a community garden/allotment): Not applicable (insufficient land) 14. Composting facilities are available on our church land: 15. Our church actively encourages members to use church land for recreation/contemplation (e.g. picnics, prayer etc.): Not applicable (insufficient land) 16. Our church actively encourages members of the local community to use the church land for recreation/contemplation: Not applicable (insufficient land) Annually (or more) Never Occasionally Need to find out 17. Our church has established a management plan for the land for which we are responsible: Not applicable (insufficient land)

7 COMMUNITY AND GLOBAL ENGAGEMENT 1. Our church organises events providing an opportunity for local people to engage with local leaders on local environmental issues (e.g. local MPs, AMs or council leaders) 2. Our church (either alone or as part of a local network) engages with our local MP, AM, local council or Public Service Board on environmental matters: 3. Our church arranges for local environmentalists to speak in our services: 4. Our church (either alone or as part of a local network) works with local sustainability movements like Transition Towns: 5. Our church (either alone or as part of a local network) organises environmental awareness-raising events (e.g. film evenings, Fairtrade events etc.): 6. Our church is involved with local conservation work (eg. at an A Rocha UK Partner in Action or RSPB/Wildlife Trusts nature reserve): Yes Some members are involved No Need to find out 7. At least some of our church members (either alone or as part of a local network) have organised and/or participated in a community clean-up project (e.g. local litter-pick): 8. Our church (either alone or as part of a local network) hosts a green fair, showcasing local produce and highlighting local environmental issues: 9. Our church organises events providing an opportunity for local people to get out and enjoy God s earth in our local area (e.g. walks, cycle rides etc.): Regularly Occasionally Never Need to find out 10. Our church either provides or supports a local car share scheme (this includes members sharing lifts to church): 11. Users of our church premises are encouraged to minimise resource use (e.g. people are trained in reducing energy use, notices about turning off lights are displayed etc.): 12. Our church actively promotes Eco Church to other local churches: 13. Our church has committed to pray for a specific overseas environmental project (for Welsh churches this might be through Wales4Africa):

8 COMMUNITY AND GLOBAL ENGAGEMENT (CONTINUED) 14. Our church participates in regular sustainability initiatives (e.g. Carbon Fast, WWF s annual Earth Hour event): 15. Our church participates in campaigns concerning national environmental issues: 16. Our church participates in campaigns concerning global environmental issues: 17. Our church participates in the Tearfund/Cord Toilet Twinning scheme as follows: All our toilets are twinned Some of our toilets are twinned None of our toilets are twinned Need to find out 18. Our church keeps the congregation informed about the impact of climate change and environmental degradation on Christian communities elsewhere in the world: 19. Our church financially supports an environmental charity: 20. Our church is registered with the Fairtrade Foundation as a Fairtrade Church: 21. Wherever possible, Fairtrade and/or ethically sourced goods are used at church services and events: Yes Sometimes No Need to find out 22. Any meals provided by the church use food that is locally grown: Always Sometimes Never Need to find out Not applicable (no meals are provided) 23. Any meals provided by the church use organic ingredients: Always Sometimes Never Need to find out Not applicable (no meals are provided) 24. Any meals provided by the church use food that is animal-friendly: Always Sometimes Never Need to find out Not applicable (no meals are provided) 25. Any meals provided by the church use Fairtrade ingredients: Always Sometimes Never Need to find out Not applicable (no meals are provided) 26. Any meals provided by the church include a vegetarian and /or vegan option: Always Sometimes Never Need to find out Not applicable (no meals are provided) 27. Our church takes steps to reduce food waste (e.g. through composting all waste, minimising leftovers at church meals, partnering with a local food waste scheme), and we encourage our members to do likewise: Not applicable (no meals are provided)

9 LIFESTYLE 1. Our church has appointed an individual or group to champion the cause of our church community becoming more environmentally sustainable: 2. Walking and cycling to church services and events is promoted in our church Often Occasionally Never Need to find out 3. The reduction of car use is encouraged in our church: 4. The members of our church receive encouragement to undertake a personal carbon footprint audit: 5. Our church encourages members to reduce their personal energy consumption: Regularly Occasionally Never Need to find out 6. Our church encourages members to limit their waste by adhering to the principles of reduce, re-use, recycle: Regularly Occasionally Never Need to find out 7. Our church hosts activities and/or events that facilitate the recycling and/or reuse of goods (e.g. clothes swap events or give and take schemes): Regularly Occasionally Never Need to find out 8. Our church operates a communal Christmas and/or Easter card scheme among the congregation: 9. Personal use and consumption of Fairtrade and/or ethically sourced goods is promoted in our church: 10. Our church encourages members to use food at home that is LOAF (Locally grown, Organic, Animalfriendly, Fairtrade) 11. Our church runs or partners with other organisations in running a food cooperative that enables members to bulk buy ethically sourced produce at wholesale prices: 12. The ethical investment of personal savings is encouraged at our church:

10 LIFESTYLE (CONTINUED) 13. Our church funds are ethically invested (e.g. current account and/or investments): Wholly Partially Not at all Need to find out Not applicable (no funds to invest) 14. Practical lifestyle tips and advice on caring for God s earth are included in our church newsletters/on our church website: Regularly Occasionally Never Need to find out 15. As part of our life together, the members of our church undertake an environmental lifestyle audit: